AMH low

Hello Line88,

I also think that the chances of success for an SS cannot be made dependent solely on the AMH, especially as this says nothing about the quality but about the quantity of eggs!

My AMH at the end of our attempts was 0.5 and then 0.3 - we were not successful... but these are of course very subjective experiences.

LG

Dear Line88,

The AMH tells you how likely your ovaries are to mature many follicles for the puncture. It is important in order to estimate how well your ovaries will react to the stimulation.

0.03 ng/ml is actually very low, did you check whether there are any follicles at the same time (ultrasound)?

I had an AMH of 0.4 at 45, so it was still possible to stimulate, but the likelihood of a good egg being released at 45 is low. If you still have an egg, it is certainly of a much better quality than mine, but only the experts can tell you whether you can still get something to mature!

Best regards! Your Oskar

Dear Line88, unfortunately the AMH is really very low. The problem is that you want to try to obtain as many eggs as possible for IVF through stimulation. This becomes difficult with such a low AMH. Mine was 0.2 at 37 and I was a low responder. I still had a regular cycle of my own, but there were hardly any eggs left for a puncture. I would get good advice, maybe give it a try, sometimes you need it for the feeling. But I wouldn't invest large amounts of money and medication any more, perhaps an ICSI Naturelle would be an option, which only involves low stimulation and working with an egg cell.

Dear Line88,

It is indeed necessary to check AMH levels with an ultrasound and antral follicle count. Given her age, I would try stimulation to see how she responds to the medication. Not with very low doses either: it's better that 2 follicles develop than 1 follicle, and since this is a first stimulation cycle, I'm not in favor of a natural cycle either. A natural cycle is usually done after a diagnosis concludes that this is the best option, not as a first intention. Also, even with a "normal" stimulation, you have to be aware of the risk of non-response, the risk of voiding and the risk of not reaching the blastocyst stage. However, if 1 good quality embryo arrives, the probability of pregnancy is around 40%.

In my opinion, you are a good candidate for ovarian PRGF prior to stimulation to increase antral follicle count and AMH (but be aware that this does not increase quality). If you would like to know more about this, please do not hesitate to ask us: contact@vidafertility.com

Yours sincerely

Dr. Santiago